Provider Demographics
NPI:1184371882
Name:THINK AND WONDER CORP
Entity type:Organization
Organization Name:THINK AND WONDER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILAGROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-856-5994
Mailing Address - Street 1:3011 CHABETT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33810-0666
Mailing Address - Country:US
Mailing Address - Phone:813-434-0294
Mailing Address - Fax:
Practice Address - Street 1:1533 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-3853
Practice Address - Country:US
Practice Address - Phone:813-434-0294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities